Organization
THEWELL
Active
Other names
Uplift Athletics, Uplift Athletics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILLA NICOLE NELSON M.ED (PRESIDENT/FOUNDRESS)
(313) 283-8620
Entity
Organization
Contact information
Practice address
28150 TAVISTOCK TRL, SOUTHFIELD, MI 48034-5180
(313) 283-8620
Mailing address
28150 TAVISTOCK TRL, SOUTHFIELD, MI 48034-5180
(313) 283-8620
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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